Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.92 / $879.64 / $4,462.88	Professional		$825.92	$879.64	$4,462.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.24 / $1,258.24 / $1,258.24	Facility		$1,258.24	$1,258.24	$1,258.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.54 / $1,258.24 / $1,569.07	Professional		$802.54	$1,258.24	$1,569.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.98 / $868.98 / $1,308.08	Facility		$631.98	$868.98	$1,308.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.67 / $1,258.24 / $1,710.21	Professional		$756.67	$1,258.24	$1,710.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,229.09 / $1,421.90 / $1,581.75	Professional		$1,229.09	$1,421.90	$1,581.75